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General NPI Number Information
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NPI Number | 1457377681
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Entity Type | Individual
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Provider Name | LORI A LUCHTMAN-JONES MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE MLC 11009
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-0278
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Fax | 513-636-7951
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE MLC 11009
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-0278
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Fax | 513-636-7951
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 105317
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | D006698
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 0101242580
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | MD036967
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 35.125446
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License Number State | OH
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